IndividualActive
Coleman Alexander
NPI 1780321067 · Massage Therapist · Jacksonville, AR
Provider details
- NPI number
- 1780321067
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7765 (AR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1108 W Main St Ste B
Jacksonville, AR 72076-4486
Phone: (501) 672-4188
Approximate (ZIP-level) locationGet directions
Mailing address
97 Otto Rd
Vilonia, AR 72173-9422
Registry dates
- Enumerated
- 2022-05-17
- Last updated
- 2022-05-17
- Certified
- 2022-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.